The tendency to take risks in medicine: factors and prevention of adverse outcomes
DOI:
https://doi.org/10.52692/1857-0011.2024.3-80.26Keywords:
tendency to take risks, medicine, safety, professional behavior, adverse outcomes, medical lawAbstract
The study focuses on the impact of risk aptitude on health professionals’ professional behaviour and related outcomes. High levels of risk appetite increase the likelihood of deviations from standard protocols, which can lead to adverse patient outcomes. Key factors including stress, burnout and the experience of professionals are analysed. Prevention measures such as developing a culture of safety, implementing reporting systems and psychological support programmes are suggested. These strategies aim to reduce risky behaviour and improve overall safety in medical practice.
References
Bandura A. Self-Efficacy: The Exercise of Control. W.H. Freeman, 1997.
Pierre S.T.M., Hofinger G., Simon R. Crisis Management in Acute Care Settings: Human Factors and Team Psychology in a High-Stakes Environment. 3rd ed., Springer, 2016.
Berwick D.M. Curing Health Care: New Strategies for Quality Improvement. Jossey-Bass, 2002.
Cod nr. 985 din 18-04-2002. Codul Penal al Republicii Moldova. Publicat: 14-04-2009 în Monitorul Oficial Nr. 72-74 art. 195. https://www.legis.md/cautare/getResults?doc_id=143535&lang=ro#.
Cook R., Rasmussen J. The Sharp End: Human Error in Healthcare. In: Human Error in Medicine, edited by M.S. Bogner, Lawrence Erlbaum Associates, 1994,pp. 255–310.
Cook R.I., Woods D.D. Operating at the Sharp End: The Complexity of Human Error. In: Human Error in Medicine, edited by M.S. Bogner, Lawrence Erlbaum Associates, 1994, pp. 255–310.
Dekker S. Just Culture: Balancing Safety and Accountability. Ashgate Publishing, 2007.
Dekker S. The Field Guide to Understanding Human Error. Ashgate Publishing, 2006.
Brânză S., Ulianovschi X., Stati V. Drept Penal. Ed. a 2-a, Cartier, 2005.
Dreyfus H.L., Dreyfus S.E. Mind Over Machine: The Power of Human Intuition and Expertise in the Era of the Computer. Free Press, 1986.
Gaba D.M. The Future Vision of Simulation in Health Care. Qual. Saf. Health Care, 2004; 13(Suppl 1):i2–10.
Institute of Medicine (US) Committee on Quality of Health Care in America. To Err is Human: Building a Safer Health System. Edited by L.T. Kohn et al., National Academies Press (US), 2000.
Byrnes J.P., Miller D.C. Gender Differences in Risk Taking: A Meta-Analysis. Psychol. Bull., 1999; 125(3):367–383.
Makary M.A., Daniel M. Medical Error—the Third Leading Cause of Death in the US. BMJ, 2016; 353:i2139. doi:10.1136/bmj.i2139.
Maslach C., Schaufeli W.B., Leiter M.P. Job Burnout. Annu. Rev. Psychol., 2001; 52:397–422.
Pisarenco C., Pisarenco S. Prevenirea infracțiunilor legate cu sindromul burnout al lucrătorilor medicali. In: Omul, criminologia, știința, Ed. Ediția a 2-a, Chişinău, Institutul de științe penale și criminologie aplicată, 2023, Vol. 1, pp. 569–573.
Pisarenco C., Pisarenco S. Medical Errors: Ethical and Legal Aspects, Ways of Prevention. Rev. Șt. Sănăt., 2022; 3(29):160. ISSN 2345-1467.
Reason J. Human Error. Cambridge University Press, 1990.
Reason J. The Human Contribution: Unsafe Acts, Accidents and Heroic Recoveries. Ashgate Publishing, 2008.
Shanafelt T.D., et al. Burnout and Medical Errors among American Surgeons. Ann. Surg., 2010; 251(6):995–1000.
Topol E. Deep Medicine: How Artificial Intelligence Can Make Healthcare Human Again. Basic Books, 2019.
Tversky A., Kahneman D. Judgment under Uncertainty: Heuristics and Biases. Science, 1974; 185(4157):1124–1131.
Weick K.E., Sutcliffe K.M. Managing the Unexpected: Resilient Performance in the Age of Uncertainty. 2nd ed., Jossey-Bass, 2007.
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